Lawmakers rolled out a roughly $1.7 trillion year-end spending bill Dec. 20, with funds earmarked for health agencies and some new investments that intersect with the work of hospitals and health systems.
Lawmakers have until the end of Dec. 23 to clear the 2023 Omnibus Appropriations bill or federal funds are set to run out, bringing key agencies and programs to a halt.
In the bill text released Dec. 20, HHS gets $120.7 billion earmarked for total spending in fiscal year 2023, which is an increase of $9.9 billion — or 8.93 percent — from fiscal year 2022.
As part of the $120.7 billion, funds are further earmarked for agencies, offices or causes. They are listed here in descending order by dollar amount, along with their percent change from fiscal year 2022, based on a breakdown provided by the American Hospital Association.
- National Institutes of Health — $47.5 billion, an increase of $2.5 billion (+5.6 percent)
- Health Resources and Services Administration — $9.7 billion, an increase of $852 million (+9.6 percent)
- Centers for Disease Control and Prevention — $9.2 billion, an increase of $760 million (+9 percent)
- Substance Abuse and Mental Health Services Administration — $7.5 billion, an increase of $970 million (+14.9 percent)
- Centers for Medicare and Medicaid Services — $4.1 billion, an increase of $100 million (+2.5 percent)
- Assistant Secretary for Preparedness and Response — $3.3 billion, an increase of $560 million (+20.4 percent)
- Advanced Research Projects Agency for Health — $1.5 billion for the second year of the agency within NIH to target breakthroughs for diseases including Alzheimer's, diabetes and cancer
- Office of Minority Health — $74.8 million, an increase of $10 million (+15.4 percent)
- Maternal Health — $324 million, an increase of $120 million, for HRSA, CDC and NIH initiatives aimed at improving maternal health outcomes (+58.8 percent)
Outside of HHS, the bill allocates $134.7 billion to the Department of Veterans Affairs, with $118.7 billion — a 22 percent increase — earmarked for medical care specifically.